Organization Active NPI

Jennifer Lynn Greenup

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1104275353
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
609 Issued in WY
Legal business name
JENNIFER LYNN GREENUP
Practice address
330 S Center St
Suite 305
Casper, WY 82601-2840
Phone
(307) 277-6473
Fax
(888) 659-0934
NPI assigned
Jun 8, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennfer Lynn Greenup, LCSW
Title
Owner
Phone
(307) 247-3901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 609 WY Primary

Addresses

Primary practice location

330 S Center St
Suite 305
Casper, WY 82601-2840

Mailing address

PO Box 51364
Casper, WY 82605-1364
Phone (307) 247-3901

National Provider Directory

National Provider Directory

Locations

330 S Center St
Ste 305
Casper, WY 82601
Phone (307) 247-3901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1104275353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51364",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826051364",
            "telephone_number": "307-247-3901",
            "fax_number": "888-659-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S CENTER ST",
            "address_2": "SUITE 305",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012840",
            "telephone_number": "307-277-6473",
            "fax_number": "888-659-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LYNN GREENUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "GREENUP",
        "authorized_official_first_name": "JENNFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-247-3901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.